Permit � CITY OF TIGARD MECHANICAL PERMIT
` COMMUNITY DEVELOPMENT Permit #: MEC2010 -00357
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2010
TIGARD�� Parcel: 1 S134CA09300
Jurisdiction: Tigard
Site address: 11234 SW 118TH TER
Subdivision: FEHRENBACHER NO. 2 Lot: 12
Project: Westberg
Project Description: Install heat pump. Unit must meet 3' minimum rear and sideyard setbacks.
Owner: FEES
WESTBERG, ERIC & HEIDI Description Date Amount
11234 SW 118TH TERR Heat Pump 07/22/2010 $61.06
TIGARD, OR 97224 12% State Surcharge - Mechanical 07/22/2010 $10.80
PHONE: 503 - 956 -2314 Minimum Fee Adjustment - Mechanical 07/22/2010 $28.94
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 -691 -9699
FAX: 503 -691 -8556
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ' �� `� Permittee Signature: ��/97/ 6 e�-y 7C) ,/
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE; USL. ONL1
City of Tigard .DECEIVED Received Permit 13e.:
• 131 SW Ha11 Bhrd., Tigard, OR 97223 Dakar: 420 is v
V i EC�tJ /0 - 00.3 5
Phone: 503.639.4171 Fax: 503.599.1960 `i.:10 pl3Ttew Other Permit:
Inspection Lino: 503.639.4175 JUL 2 0
Dam
/ Review
C,,. ^. �1 Internet: www.tigard or.gov NO eethod: Supplemental Information
Date Ready/By: CITY OF TIGARD l
M1:. r , _ �.. ,l ''t 7 v �'�p i� E "; 4f '�, , „`�ifi.V *0**l';!!'�
0 New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit.
K�f ";1 I� s -� ' t i ,, r f V � .: 1V' t � q�, a „ }.. I rx .:"(* nn}I1 ;,.� � k r. t r k !Vue $
� fi ,.. !'! -�• S „ ,W d�' f, al a n . r r�
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ° �
❑ Multi- family El Master builder 1=1 Other:
special information use checklist.
C ��y�, Description Qty. Ea, I Total
` U, • ,. j '�,F!'r F. , f(fl SItE R11 .1;T �l r G , ,14g t 2 �"rl t, H eating/cool i ng
Job site address: '' `` ► �� Ik � Air conditioning
"Q 3 "c�h -rQrr (requires site plan showing' placement) 46.75
City/Stare...2lp: T f , O R �,-- a q Furnace 1,00013TtJ (duets/vents) 46.75
1 u Furnace 100 ,000+ BTU (ducts/vents) 54.91
Suite /bldg. /apt, no.: Project name: G(/63 7 a 6�`— Heat pump t 61.06 6t.04e
Cross street/directions to job site: Duct work 23.32
l Hydronic hot water system 23,32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -typc. not electric),
in -wall. in -duct. suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
.,,.,�.„,,.r..,•,.. Other: 23.32
Tax leap /parcel no.: Other fuel appliances
S it; kl , x . ' r.'. \ ` y` iitO , �' , °.: ' vt +: '+
'!r , � v �• R Y47,i'L ���'Trr�Y'.”' i 1 r t L ��S� J I+ � � ;J. 1 1;L,v `f � Water heater 2332 .�`.' -,
Gas fireplace
33.39
xrizjgk‘Q„kmp Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23,32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 _
!
x Chiluney/Ilner /Fue/vent 23.32
F,!k; ,, 14: 0 x r •,';ei � 1 ? �.R 1 .• ?
dr r 2 ,n'' 7 ;f Oth 2
' \ R M. J,. a ... �1: 1 N. �b�� Ot11er, 23.32
Name. c f e:16:‘ WeSkbtr -C Environmental exhaust and ventilation
Est;: I1a3 it � 1W '- le'rr equipment hood/other kitchen 33.39
City /State/ZIP: " tcsal (3la, on aai► Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone (50 ,5) ci a :514- Fax ( ) toilet compartments, utility rooms) 23.32 _
,;, r ;; it'.. G 7 7 % , ,4', , i t , ': ,� Attic/crawlspace fans 2332 •
1 � Other: I 23.32
13usincss name: eo,h .‘ f of - Fuel piping _Cdt
Contact name: R Qg�tr 514.15 for first four; $ for each additional
t Po Fox QA 1 Furnace, etc,
Address: Gas heat pump ..
City/State/ZfP: a) no.., e so - c 115 WaWsuspendedtunit heater
Phone: (5( <. • ' • w Fax:: ( + _ Water heater
•
Fir .lace
E-mail: Range
o' �t� 3t rl ef, r ` { .( J � , , \s d q Ir t :: ; V y I p w' t 1 h1 "1 Barbecue
': 6; , ; . ,, ... ,. ll. l. ) , ,S W.. !... 54; .. i ∎i..k ii;,/,) .::.,:,,',:.,4`.,,,, . ,'.;:; :i
Clothes dryer (gas) _
Business name: evre �c&t C other:
Address: p box a4 t ,dt rM °'� ° � ,, ,,‘
C y /State /ZIP: Dundee O '211115 Subtotal
vv •
Minimum permit fee ($90.00) 90 -00 Phone: (5Ca 1/45:kr..,C► c q Fax. (S05) C.,IS55‘ , Plan review (25% of pertnit fee)
CCBlie.: rlAkZ1!! "`1 State surcharge (12% ofpennir e) ii
TOTAL PERMIT FEE . MAO t-�
Authorized signature'
This Permit application expires f a permit is not obtained within 180
pp __ days alter er has b hae been accepted os complete.
Print name: 11 C]CS 1 P . V e e Date: i- t7ll J - aU l 0, • Fee methodology set by Tri- County Building industry Service Board
1:is mn8wermas‘ALEcrermfNpp.doc 10/01/09 7T (11ro2/COMIWEB)
£0 /Z0 39dd 9NI.LV3H N003NO 9598- T69 -E05 EE :tI 0Z0Z /0Z /L0
EO /Z0 30Vd
0 .112 cfm
Job #:
Performed for
Eric & Heidi Weatburg
11234 SW 118th Terr
Tigard, OR 97224
Phone: 503-956-2314
Garage
N
`), 112 Cam
First Floor
707cfm
1
Jurisdiction Tigard
SW 118th Tarr
First Floor
'112 dm
— 12cfm
Oregon Heating & Air Conditionin...
PO Box 397 / 992 Hwy 99W
Dundee, OR 97115
Phone: 503 -538 -2953 Fax: 503 -537 -2172
Tom(orego n hea ting. co m
9NIld3H NO9360
a
(81 12 cfm
RECEIVED
JUL 2 0 2010
CITY OF TIGARD
BUILDING DIVISION
10
I
10
9958- T69 -E05
10 -0201
10
ScaIG: 1 : 104
Page 3
Right -Suite Residential
8.0.108 RSR3932s
2010-Jul-20 12:19:07
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